| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $23.99 | $36.31 | |
Cigna
| Professional | $15.85 | $15.85 | $31.62 | |
United
| Facility | $2.19 | $16.60 | $24.55 | |
United
| Professional | $12.59 | $20.42 | $33.88 |
Ratchet assembly, replacement only
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $23.99 | $36.31 | |
Cigna
| Professional | $15.85 | $15.85 | $31.62 | |
United
| Facility | $2.19 | $16.60 | $24.55 | |
United
| Professional | $12.59 | $20.42 | $33.88 |